Organization
CHILDENS HEALTH CARE ASSOCIATES OF NEW JERSEY PC
Active
Other names
CHCA NJ Emergency Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MIXZA SANTA (ENROLLMENT SPECIALIST)
(267) 425-9233
Entity
Organization
Contact information
Practice address
100 BOWMAN DR, CHOP CARE NETWORK AT VIRTUA VOORHEES HOSPITAL, VOORHEES, NJ 08043-9612
(856) 325-3000
(267) 425-9299
Mailing address
100 E PENN SQ FL 9, CHILDRENS HEALTH CARE ASSOCIATES OF NEW JERSEY PC, PHILADELPHIA, PA 19107-3323
(267) 425-9233
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001025402
—
DE
05
—
0006558520006
—
PA
05
—
0227884
—
NY
05
—
8241601
—
NJ
Enumeration date
10/04/2006
Last updated
11/12/2013
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